| NPI | 1891767620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WV 24596) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA md200614) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2022-08-18 |